For patients with symptomatic knee osteoarthritis
I. Conservative treatment
1. Participation in self-management programs, strength training, low-intensity aerobic exercise, and neuromuscular training; participation in physical activity consistent with national guidelines is recommended.
2. If BMI >= 25, weight loss is recommended.
3A does not recommend acupuncture therapy
3B neither favor nor oppose the use of physical therapy
3C neither favor nor oppose manipulative therapy
4, Neither favor nor oppose the use of valgus stress brace
5.The use of lateral wedge insoles is not recommended
6.The use of glucosamine and chondroitin is not recommended
Second, drug treatment
7A We recommend oral or local use of NSAIDs or tramadol
7B Neither for nor against the use of acetaminophen, opioids and other analgesic patches
III. Operative interventional therapy
8, Neither for nor against the use of joint cavity injections of glucocorticoids
9. Do not recommend the use of hyaluronic acid
10.Neither for nor against the use of joint cavity injection of growth factors/ or platelet-rich plasma
11.Do not recommend the use of syringe irrigation treatment
IV. Surgical treatment
12.The use of arthroscopic lavage/ or cleanup is not recommended
13.For patients with combined meniscal rupture, arthroscopic partial meniscectomy is neither favored nor opposed
14, In patients with symptomatic medial compartment knee osteoarthritis, clinicians may perform proximal tibial valgus osteotomy
15. Due to the lack of credible evidence, the use of free-floating spacer devices is not recommended for patients with symptomatic medial interval knee osteoarthritis.